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Congenital Heart Disease

Irving C, Parry G, O’Sullivan J et al.

Freeman Hospital, Newcastle upon Tyne, UK.

 Heart 2010;96:1217–22.

Editor’s note: The success of radical palliation and correction of complex heart defects in early childhood carry a legacy into adult life. This is not always uncomplicated, particularly for some of the palliative procedures such as the Fontan operation and the more complex intracardiac repairs; for some cases, ventricular and circulatory failure may be a problem that is experienced in early-to-mid adult life. Although from an age perspective, these patients may be ideally suited for cardiac transplantation, the effect of multiple previous operations (e.g. in terms of anatomic substrate and the physiology of the circulation) sometimes disadvantage this patient population.

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